TY - JOUR
T1 - Development and validation of support tools for advance care planning in patients with chronic heart failure
AU - Takada, Yasuko
AU - Hamatani, Yasuhiro
AU - Kawano, Yukie
AU - Anchi, Yuta
AU - Nakai, Michikazu
AU - Izumi, Chisato
AU - Yasuda, Satoshi
AU - Ogawa, Hisao
AU - Sugano, Yasuo
AU - Anzai, Toshihisa
AU - Shibata, Tatsuhiro
AU - Suzuki, Atsushi
AU - Nishikawa, Mitsunori
AU - Ito, Hiroto
AU - Kato, Masashi
AU - Shiga, Tsuyoshi
AU - Fukumoto, Yoshihiro
N1 - Publisher Copyright:
© 2019 MA Healthcare Ltd.
PY - 2019/10/2
Y1 - 2019/10/2
N2 - Background: Advance care planning (ACP) is recommended as part of the management of patients with heart failure (HF). Aims: To develop and validate ACP support tools for patients with HF. Methods: An ACP support tool was developed based on a systematic literature review. A multi-center, prospective before and after study was conducted to evaluate the usefulness of the support tool. This study included 21 patients with HF, 11 patients formed the control group and 10 patients were part of the intervention group who received ACP from medical staff using the ACP support tools developed for this study. Participants of the study were surveyed about their experience of ACP using a 6-point Likert scale. Findings: All of the healthcare professionals (n=9) involved in the study found the ACP tool useful and about 90% of patients considered the support tool useful. The score for 'the patient did not feel anxious about the future after receiving ACP discussion' was significantly higher (3.5 [3.0, 4.0] vs 2.0 [1.0, 3.0]; P=0.04) in the intervention group that used the ACP tool. Conclusion: ACP support tools are useful to manage patients with HF and could enable effective ACP without increasing patient anxiety.
AB - Background: Advance care planning (ACP) is recommended as part of the management of patients with heart failure (HF). Aims: To develop and validate ACP support tools for patients with HF. Methods: An ACP support tool was developed based on a systematic literature review. A multi-center, prospective before and after study was conducted to evaluate the usefulness of the support tool. This study included 21 patients with HF, 11 patients formed the control group and 10 patients were part of the intervention group who received ACP from medical staff using the ACP support tools developed for this study. Participants of the study were surveyed about their experience of ACP using a 6-point Likert scale. Findings: All of the healthcare professionals (n=9) involved in the study found the ACP tool useful and about 90% of patients considered the support tool useful. The score for 'the patient did not feel anxious about the future after receiving ACP discussion' was significantly higher (3.5 [3.0, 4.0] vs 2.0 [1.0, 3.0]; P=0.04) in the intervention group that used the ACP tool. Conclusion: ACP support tools are useful to manage patients with HF and could enable effective ACP without increasing patient anxiety.
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U2 - 10.12968/ijpn.2019.25.10.494
DO - 10.12968/ijpn.2019.25.10.494
M3 - Article
C2 - 31755842
AN - SCOPUS:85075429561
VL - 25
SP - 494
EP - 502
JO - International Journal of Palliative Nursing
JF - International Journal of Palliative Nursing
SN - 1357-6321
IS - 10
ER -